NYC 9/11 Public Portal Document
ENVIRONMENTAL' SERVltE^-SAWI^iE ShOl^SION’toW^ ’ H
<com WESTCHESTER COUNTY LABORATORIES AND RESEARCH
2Dana Road,Veihalla, NBwY3rk 10595L
(914) 231-1820- Fax (914) 231-1772 ;
Y,Hme/Date Set; : / Form
Sdnipte Type (circle one):
j^otable 31 Non Potable Treated Bottlers: A&llA.
'^i^fWble ; 4.OfeiBr
_ Chain cf Custody? -No . •
:/Tinre?Dat6 Collected: 3- OZ _ Comments:
n ’ Collected Bv: L < iAla <!|A«. r Agency Code: _ PWS „ Source ID: .TypeDescriptor,
■ Collected From: Bin to:
i ; Lpcation's/lndivlduai's Name C .. Name/Company
. Street___ _ \ .Street -
J. CHy/St/Zip tyfer I kfX Hq ftjy iQ _ City/StZZIp____ Y
1
JdenflflcatlonofSd^ _ » _ Phone#: Fax#;
I Collection Point
pJACH, Bl? i iChecldfe , -- Y Aments
I^^ERIOLOGICAL ANALYSIS Lab#:
ORGANIC POTABLE ANALYSIS ORGANlC NONPOTABLE/SOLID ANALYSIS
-.HeterotrophicPlate Count __ Whalomethanes (524) I <
is- Y^ ffierrKXfieiji^s & ail others) Purgeabi8 Halocarbons (624/8280) .11 ■1/
u^^latile Halocarbons (524) X Purgeable Aromatics (624/8260)
X CoiifoiTn P//\ (Public supplies)
MPN (priv well, raw, stp) ^/Volatile Aromatics (524) _ _ Aw^elh A AcarjrtohiWld 1(6^) 1;
__ Fecal CoIiform (all samples) „ Total Trihalomethane Potential (510) X Organdchlorine Pesticides (608/8081)
XMlcroscoplc _ Microextractables (504) X PCB's (/Vochlors) (608/8081)
_ Pesticides/PCB screen (508) jY Herbltides (SM18/6630,8151) A . ’
__ PCB as Decachlorobiphenyl (SOBA) tnh^ Pesticides (SMie/6^)
Ot^.-;X—_________ _ Herbicides (515) __ Petroleum Hydrocarbon Scan (310-13) S
_ Pesticides (525) _ 6lycoi$l{iWater g
no _ Carbamate Pesficides (531) _ Add Extractables (625/8270) ■
J OIMnated:?,----- yes no „ Glyphosate (547) __Base Neutral ^ractable8{625/8270)
Y Fr^'Chlorine Res:___ _ Diquat (549) iZ*GC/IVIS Unknown Scan
_mg/L __ Chlorination Disinfection Byproducts (551) Phthalates (606MS) : -
TotalChlorlne Res: _mg/L _Haioacetic Acids (552)
pH r __ Other Pesticides (SMI8/6630)
& _UCMRLi8t1
IRJMOIOCWENHCAL ANALYSIS _MtBE Only (524)
—Radon I T
&
•• •• . ■
inorganic analysis requested - Lab#:
HI
""' ' A;
__ Acidity 4i!Wuminum _^otasslum
I—
—. Turbidity i
PR., -
Alkalinity
_ Bromide
_iZwtimony /^tenlum,
;X. Y Brorndte/Chiorate/Chlorite .^Zgprium _^dlum /
,CorToslvlty(temp:
....... —___°C)
■“ _ Chloride .^ZBerylllum snhalllum
.BOD (5 day) _ Cyanide _^^drnlum __^nadium
. Carbonaceous BOD (5 day) _:.Fiuot1de
; Soluble BOp (5 day) __ Hardness, Total as CaCOs __ Calcium, as CaCOs
. Chemical Oxygen Demand
R-i _ Dlssolved Oxygen
toted Organic Carbon
Total Organic Halides
_ Nitrog^, Ammonia as N
_ . Nitrogen, Nitrate as N
_ Nitrogen, Nitrite as N
\_^tfdum,Ca«
jkXJnrpmium, Total
_ Chromium. Hexavalent '<
-_Metels/CN
XVbltoesfll
X Semi-violatiles
_ Nitrogen, Total Kjeldahl as N
F- _ Solids, Percent (%) __ Oil and Grease .M^OppM-
__Pestlcides/PCB’s
Solids, Settleable _ Phenol
fe -..Solids, Suspended
R- _Solids, Total
_ Phosphorus Total as P
__ Phosphorus, Ortho as P
^/lead
_ .Magnesium
tCLP
XTCLP-Metals
fe _ Solids, Total Dissolved
i? W; , Total Volatile
_ Sulfates
__ Surfactants
.^^anganese
✓^ercury
XTCLP-Pesticldes
__TCLP-Herbic!des 1
_ UV254 ;
1
Siw
NYC-WTC_000074977
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